Prophylactic antibiotics in sialendoscopy: a randomized clinical trial
Carlos M Chiesa-Estomba1,2,3, Alvaro Sanchez-Barrueco4,5, Giovanni Cammaroto6,7
1Department of Otorhinolaryngology, Osakidetza Donostia University Hospital, Biodonostia Research Institute, San Sebastian, 20014, Spain. chiesaestomba86@gmail.com.
Routine prophylactic antibiotics are not necessary for sialendoscopy procedures. This study found no significant difference in postoperative infections between patients who received antibiotics and those who did not, suggesting a potential reduction in antibiotic use.
Area of Science:
- Otolaryngology
- Surgical Infection Prevention
Background:
- Sialendoscopy procedures often involve routine antibiotic prophylaxis.
- Evidence supporting this practice for reducing postoperative infections is limited.
Purpose of the Study:
- To evaluate the necessity of prophylactic antibiotics in sialendoscopy.
- To provide evidence-based guidance on antibiotic use in this procedure.
Main Methods:
- A prospective, randomized, double-blind, controlled clinical trial was conducted.
- 80 patients undergoing sialendoscopy were included.
Main Results:
- Infection rates were 5.6% with prophylaxis and 9.1% without.
- The difference in infectious events between groups was not statistically significant (p=0.556).
Conclusions:
- Routine prophylactic antibiotics may not be necessary for sialendoscopy.
- Findings support reducing unnecessary antibiotic use, addressing resistance and adverse reactions.
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